Toxicity Profile Related Toimmune Check Point Inhibitors:a Comprehensive Review
Main Article Content
Abstract
Immunotherapies are changing the scope of advanced solid tumour treatment. These molecules that increase the endogenous immune response against molecules that increase the endogenous immune response against tumours. They have revolutionized the field of oncology. Immune checkpoint inhibitors are monoclonal antibodies that are used to treat over one in three cancer patients, checkpoint inhibitors, such as CTLA-4 or PD1/PD-L1 monoclonal antibodies, and CSF-1R antibodies. Cancer immunotherapies have unique toxicity profile different from other cancer therapies, which presents difficult for physician in ruling out and addressing adverse effects produced by inflammation brought immune response activation. Any organ or system in the body may have adverse effects; however, GI, dermatologic, hepatic, endocrine, and pulmonary toxicities are the most frequent. Any changes should raise an alert that they are related to the medication. Immune related adverse effects (irAEs) vary with incidence and onset depending on the type and dosage of Immune check point inhibitors used. Checkpoint inhibitors therapy is frequently continued even in the event of minor irAEs. However, fatal results have been recorded in instances involving moderate to severe irAEs, and these toxicities require early detection along with suitable care. They can additionally lead to life-threatening decreases in organ function and health related quality of life (HRQL).
References
Immunotherapy to Treat Cancer.
National Cancer Institute.
Available at: cancer.gov/about-cancer/treatment/types/immunotherapy
Immune Checkpoint Inhibitor Toxicities.
Mayo Clinic Proceedings.
Marin-Acevedo JA, Chirila RM, Dronca RS.
Immune checkpoint inhibitor toxicities.
Mayo Clinic Proceedings. 2019 Jul 1;94(7):1321–1329. Elsevier.
Das S, Johnson DB.
Immune-related adverse events and anti-tumour efficacy of immune checkpoint inhibitors.
Journal for Immunotherapy of Cancer. 2019 Nov 15;7(1):306.
Okiyama N, Tanaka R.
Immune-related adverse events in various organs caused by immune checkpoint inhibitors.
Allergology International. 2022 Apr 1;71(2):169–178.
Ghisoni E, Wicky A, Bouchaab H, Imbimbo M, Delyon J, Moura BG, Gérard CL, Latifyan S, Özdemir BC, Caikovski M, Pradervand S.
Late-onset and long-lasting immune-related adverse events from immune checkpoint inhibitors: An overlooked aspect in immunotherapy.
European Journal of Cancer. 2021 May 1;149:153–164.
Cortellini A, Vitale MG, De Galitiis F, Di Pietro FR, Berardi R, Torniai M, De Tursi M, Grassadonia A, Di Marino P, Santini D, Zeppola T.
Early fatigue in cancer patients receiving PD-1/PD-L1 checkpoint inhibitors: an insight from clinical practice.
Journal of Translational Medicine. 2019 Dec;17:1–6.
Wang DY, Ye F, Zhao S, Johnson DB.
Incidence of immune checkpoint inhibitor-related colitis in solid tumour patients: a systematic review and meta-analysis.
Oncoimmunology. 2017 Oct 3;6(10):e1344805.
Watanabe T, Yamaguchi Y.
Cutaneous manifestations associated with immune checkpoint inhibitors.
Frontiers in Immunology. 2023 Feb 20;14:1071983.
Manne A, Mulekar MS, Escobar DE, Alsayed A, Sharma G, Prodduturvar P, Howard JH, Gilbert R, Alkharabsheh O.
Clinical and haematological predictors of high-grade immune-related adverse events associated with immune checkpoint inhibitors.
Journal of Clinical Medicine Research. 2021 May;13(5):268.
